Document Detail

Correction of blepharophimosis with silicone implant suspensor.
MedLine Citation:
PMID:  16641709     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Blepharophimosis is a rare autosomal-dominant syndrome involving the periorbital region. It is characterized mainly by eyelid ptosis, palpebral phimosis, telecanthus, and epicanthus inversus.
METHODS: Ten patients ranging in age from 2 to 22 years who presented with blepharophimosis were retrospectively studied over the past 14 years; they had an average follow-up of 7 years and 5 months. They were treated at the Division of Plastic Surgery of the Faculty of Medicine, University of São Paulo. Eight patients presented with the complete form, including epicanthus, telecanthus, and severe palpebral ptosis, and two presented with the incomplete form. The epicanthi and telecanthi were corrected with Mustardé's technique, and the ptosis was treated by frontalis suspension with a soft, preformed silicone device called the silicone implant suspensor.
RESULTS: The results were classified as good, fair, and poor, according to the postoperative position of the upper eyelid in relation to the scleral limbus, medial canthus position, and residual epicanthal fold. The results were assessed as good in seven cases and fair in three.
CONCLUSIONS: The silicone eyelid suspensor was effective in improving the patients' difficult condition. It was a better alternative than the use of fascia lata, because it permitted an easier readjustment of the eyelid margin and it offered the possibility of creating a well-defined palpebral fold, which is usually absent in this group. The results were maintained with long-term follow-up. The silicone suspensor was safe and long-term results were good in both children and adults.
Henri Friedhofer; Marcelus V A S Nigro; Aylton Cheroto Filho; Marcus Castro Ferreira
Related Documents :
14501539 - The effects of intensive voice treatment on facial expressiveness in parkinson disease:...
16025059 - Primary versus secondary tracheoesophageal puncture for speech rehabilitation in total ...
16250219 - Long-term results of hemihang-back lateral rectus recession.
20951549 - Voice and laryngeal configuration of men with unilateral vocal fold paralysis before a...
16641709 - Correction of blepharophimosis with silicone implant suspensor.
8278159 - Intraoperative suspension-recession technique for treatment of vertical strabismus in t...
12036839 - Heterotopic bone formation: irradiation of high risk patients.
14630289 - Analysis of treatment delivery errors in brachytherapy using formal risk analysis techn...
24765489 - Syringomyelia regression after shunting of a trapped fourth ventricle.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  117     ISSN:  1529-4242     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-04-27     Completed Date:  2006-05-23     Revised Date:  2014-10-13    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1428-34     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Blepharophimosis / surgery*
Child, Preschool
Eyelids / surgery*
Ophthalmologic Surgical Procedures / methods*
Prostheses and Implants
Retrospective Studies
Treatment Outcome
Reg. No./Substance:
Comment In:
Plast Reconstr Surg. 2007 Mar;119(3):1120-1; author reply 1122   [PMID:  17312535 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  A clinical retrospective study comparing two short-scar face lifts: minimal access cranial suspensio...
Next Document:  The genioplasty and beyond: an end-game strategy for the multiply operated chin.